We can speak louder than ignorance…

We are living in a, frankly, terrifying world. The march to the political right, climate chaos, human rights violations, erosion of reproductive rights are just the tip of the nightmare. It is easy to feel powerless in the face of such monumental issues.

I feel especially frustrated when my health limits my participation in protest. Signing petitions, sending emails & sharing information doesn’t feel like enough. In an effort to feel like I am trying to facilitate change I put my money where my mouth is.

For a few years now I have tried to pick a different charity or organisation each month to donate to. It’s not always a huge donation, but I think every little helps. It also really helps me deal with life to feel that I am supporting action that betters the world.

It occurred to me that I often discover people doing amazing work via social media, friends raising money and the content I consume. Thus I have decided to share the groups I am supporting each month in the hope that others might also feel moved to donate.

Immigration policy on both sides of the Atlantic are alarming. The American situation is beyond compression. Facist dehumanising techniques are in full force & repugnant acts are being committed. Raices are on the ground in Texas fighting for asylum at the border. They support those who have been detained, try to reunite separated families & advocate for unaccompanied minors. This work is vital. We can do nothing whilst sickening acts are waged against desperate people seeking safety. If you can, please consider making a donation.

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On the plus side…

Fatigue is getting the best of me this week. I am out of spoons, but I don’t want to be out of words on this blog. Hence, I wil be sharing some short pieces I have written for other publications. I hope you find them as absorbing as my usual content.
First up a piece on how body shaming & fat stigma makes plus size infertility an even bigger challenge.
Infertility is  heart breaking affair for anyone who wants to have a child. With the NHS now reporting that 1 in 7 couples have difficulty conceiving, infertility is more common that we realise. Thankfully most people in UK will be able to access fertility treatment via the NHS. However, some people are not deemed suitable for treatment. One of the groups who may be denied access are those categorised as clinically obese.
Women with a BMI over 30 are routinely refused fertility treatment. Drs advise them lose weight before they can be referred to a specialist. There are a number of issues with this policy and some  are tied in with the way society as a whole views fat people. Let’s begin with index used to measure if a person is obese. Body Mass Index (BMI) has been widely discredited. The index has a number of problems including the fact that BMI does not differentiate between muscle & fat. Hence, people who are fit & have healthy body fat can be classified as obese. Another issue is that BMI does not recognise difference in body shape. It is well established that those who carry their weight around the middle (sometimes known as apple shaped) are at much higher risk of health complications than those who carry excess fat around their hips (pear shaped) [1].Thus women with very different shapes & risk factors can be labelled with the same BMI. Perhaps the biggest failing is that BMI  does not always change with lifestyle alterations. A person may make significant changes to their health without necessarily losing large amounts of weight. Partaking in regular exercise and switching to a healthy (but not calorie focused) diet will have a huge impact of a person’s wellbeing. Sadly, BMI would not recognise these positive changes unless there is also weight loss. This can put women in the position of focusing on how much they weigh rather than how healthy their lifestyle is.
Of course, there are also questions to be asked outside the clinical failings of BMI. It is important to note that there is no official policy on women who are under weight. Despite the fact that being too thin can have a bigger impact on a woman’s fertility than being too big. The medical community appear to jump to the conclusion that fat is always bad. A notion that is reflected in society & that causes plus sized women to face wide spread discrimination. It is estimated that half of pregnancies in the UK have obese mothers. Yet studies show that only 5% of admissions to neonatal units and 4% of preterm births could be avoided if all pregnant women had a ‘normal’ BMI at the start of pregnancy [2].The implications is clear, overweight woman are regularly having healthy pregnancies & deliveries. Still the overwhelming message from the medical community is that obese women automatically have  high risk pregnancies.
The most worrying part of this protocol is that women are often not even referred to a fertility specialist until the capitulate on the weight loss issue. This means that women who have specific medical problems interfering with conception are forced to delay interventions that could solve their problems. The bottom line is that women who are classified as obese get a raw deal. Underlying prejudices seem to be making an already distressing issue much harder of plus size women. Infertility can make women feel powerless and incompetent. When you are fat, those feelings are increased by the prevailing impression that your weight is to blame.
1 Mayo Clinic
2 Public Health England, Maternity obesity and pregnancy outcomes.